A 74 year old woman with long standing atrial fibrillation not taking anticoagulation is brought to the emergency department because of sudden right sided weakness and aphasia that began 3 hours ago. CT scan is initially negative for hemorrhage, and she is treated for an acute ischemic stroke. One week later, the infarcted region in the brain is expected to show which of the following processes?
- A)Hydrolytic enzyme mediated digestion resulting in a cystic cavityGABARITO
- B)Formation of a cheesy acellular center with multinucleated giant cells
- C)Replacement by dense collagen scar without prior phagocytic reaction
- D)Coagulation of structural proteins with preservation of cell outlines
- E)Deposition of calcium soaps in peripancreatic fat
Explicação
Cerebral infarction undergoes liquefactive necrosis because hydrolytic enzymes digest dead tissue and the CNS has abundant lipid rich tissue with limited supporting stroma. A week after a stroke, macrophage mediated cleanup and liquefaction are prominent, ofte... Ver explicação completa e trilha adaptativa →